NPI 1235628850

Valentyna Tack, DO

Practitioner Pediatrics Physician West Orange, NJ

Practice location

Address: 101 Old Short Hills Rd STE 105, West Orange, NJ 07052-1080
Phone: (973) 325-1115
Fax: (973) 325-1186
Mailing address: 401 Route 73 N Bldg 10, Suite 320, Marlton, NJ 08053

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 25MB11903400 (NJ)

Other Pediatrics providers in New Jersey →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence DO035019 (DC)

Registry record

NPI: 1235628850
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 May 2018
Record last updated: 5 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.